Intended for healthcare professionals

Letters Whorlton Hall tragedy

Whorlton Hall: substantial investment needed to protect vulnerable people

BMJ 2019; 366 doi: (Published 02 September 2019) Cite this as: BMJ 2019;366:l5293
  1. Matt Hoghton, general practitioner1,
  2. Kirsten Lamb, retired general practitioner2
  1. 1Clevedon Medical Centre, Bristol BS21 6DG, UK
  2. 2Harpenden, UK
  1. matt.hoghton{at}

Murphy’s editorial on Whorlton Hall describes the institutional abuse of vulnerable patients that continues despite improved safeguarding training, care home environments, and regulatory systems.1 The Social Care Institute for Excellence has identified many factors associated with institutional abuse including management, staff recruitment, staffing levels, adherence to policy and procedure, staff training, record keeping, choice of service levels, and dehumanisation.2

Beadle-Brown and colleagues argued that just moving people out of institutions into community …

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